Sudhir K Gupta (NPI# 1437119286, PAC ID# 5092792184) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
Nation Provider ID (NPI) | 1437119286 |
PAC ID by PECOS | 5092792184 |
Professional Enrollment ID | I20080618000320 |
Full Name | Sudhir K Gupta |
Organization Legal Name | ST. ANTHONY SHAWNEE HOSPITAL, INC. |
Address |
1900 Gordon Cooper Dr Shawnee OK 74801-8603 |
Phone Number | 4058787160 |
Gender | M |
Graduation Year | 1977 |
Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Secondary Specialties | INTERNAL MEDICINE, NUCLEAR MEDICINE |
Group Practice PAC ID | 1052567328 |
Number of Group Practice Members | 16 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
370149 | ST ANTHONY SHAWNEE HOSPITAL |
370037 | ST ANTHONY HOSPITAL |
Address | Phone | Organization |
---|---|---|
1900 Gordon Cooper Dr, Shawnee, OK 74801-8603 | 4058787160 | ST. ANTHONY SHAWNEE HOSPITAL, INC. |
3315 Kethley Rd, Shawnee, OK 74804-9638 | 4052735801 | SHAWNEE MEDICAL CENTER CLINIC, INC. |
Organization Legal Name | ST. ANTHONY SHAWNEE HOSPITAL, INC. |
Physicians | 15 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lara D Mashek | Family Medicine | St. Anthony Shawnee Hospital, Inc. | 1102 W Macarthur St, Shawnee, OK 74804-1743 |
Gaynell M Schieber Anderson | Family Medicine | St. Anthony Shawnee Hospital, Inc. | 1102 W Macarthur St, Shawnee, OK 74804-1743 |
Kristy J Herman | Certified Registered Nurse Anesthetist (crna) | St. Anthony Shawnee Hospital, Inc. | 1102 W Macarthur St, Shawnee, OK 74804-1743 |
Kenneth T Darvin | Family Medicine | St. Anthony Shawnee Hospital, Inc. | 1102 W Macarthur St, Shawnee, OK 74804-1743 |
Martin Mcintosh | Certified Registered Nurse Anesthetist (crna) | St. Anthony Shawnee Hospital, Inc. | 1102 W Macarthur St, Shawnee, OK 74804-1743 |
Kevin D Johnson | Certified Registered Nurse Anesthetist (crna) | St. Anthony Shawnee Hospital, Inc. | 1102 W Macarthur St, Shawnee, OK 74804-1743 |
Travis D Thompson | Certified Registered Nurse Anesthetist (crna) | St. Anthony Shawnee Hospital, Inc. | 1102 W Macarthur St, Shawnee, OK 74804-1743 |
Eric Shane Olson | Nurse Practitioner | St. Anthony Shawnee Hospital, Inc. | 1102 W Macarthur St, Shawnee, OK 74804-1743 |
Troy R Norred | Cardiovascular Disease (cardiology) | St. Anthony Shawnee Hospital, Inc. | 1102 W Macarthur St, Shawnee, OK 74804-1743 |
Traci Phuong Tran | Physician Assistant | St. Anthony Shawnee Hospital, Inc. | 1102 W Macarthur St, Shawnee, OK 74804-1743 |
Street Address |
1900 GORDON COOPER DR |
City | SHAWNEE |
State | OK |
Zip | 74801-8603 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jonathan D Cargill | Clinical Psychologist | 23 E 9th, Suite 311, Shawnee, OK 74801 | |
Ken D Bond | Psychologist, Clinical | 1127 N Kickapoo Ave, Shawnee, OK 74801-4845 | |
Vicki Cunningham | Chiropractic | 678 Kickapoo Spur St, Suite B, Shawnee, OK 74801-4851 | |
Willena Duree | Chiropractic | 318 W Highland St, Shawnee, OK 74801-6738 | |
Heather Adams | Occupational Therapy | Select Physical Therapy Holdings Inc | 412 N Broadway Ave, Number 416, Shawnee, OK 74801-6922 |
Christina Albert | Physical Therapy | Select Physical Therapy Holdings Inc | 412 N Broadway Ave, Number 416, Shawnee, OK 74801-6922 |
Kimberly Johnston | Physical Therapy | Select Physical Therapy Holdings Inc | 412 N Broadway Ave, Number 416, Shawnee, OK 74801-6922 |
Alia Young | Physical Therapy | Select Physical Therapy Holdings Inc | 412 N Broadway Ave, Number 416, Shawnee, OK 74801-6922 |
Sandra K Choney | Clinical Psychologist | 400 N Bell, Shawnee, OK 74801-6924 | |
Steven J Randolph | Clinical Social Worker | 23 E 9th St, Suite 321, Shawnee, OK 74801-6943 | |
Find all physicians in zip 74801 |
City | SHAWNEE |
Zip Code | 74801 |
Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
City + Specialty | SHAWNEE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.